{"id":4760,"date":"2017-03-29T13:20:47","date_gmt":"2017-03-29T12:20:47","guid":{"rendered":"https:\/\/bestpractice.bmj.com\/info\/?page_id=4760"},"modified":"2026-08-23T09:07:54","modified_gmt":"2026-08-23T08:07:54","slug":"what-is-ebm","status":"publish","type":"page","link":"https:\/\/bestpractice.bmj.com\/info\/pt\/evidence\/learn-ebm\/what-is-ebm\/","title":{"rendered":"O que \u00e9 a MBE?"},"content":{"rendered":"<p class=\"lead\">A medicina baseada em evid\u00eancias (EBM<sup>a<\/sup>) refere-se \u00e0 aplica\u00e7\u00e3o da melhor pesquisa dispon\u00edvel aos cuidados cl\u00ednicos, o que requer a integra\u00e7\u00e3o de evid\u00eancias com a experi\u00eancia cl\u00ednica e os valores do paciente [1,2].&nbsp; Quando falamos no que h\u00e1 de melhor em pesquisa nos referimos \u00e0 pesquisa clinicamente relevante (isto \u00e9, orientada para o paciente) que:<\/p><br \/>\r\n<br \/>\r\n<ul><br \/>\r\n \t<li>Esclarece a acur\u00e1cia e precis\u00e3o dos exames diagn\u00f3sticos,<\/li><br \/>\r\n \t<li>Destaca a import\u00e2ncia dos marcadores progn\u00f3sticos,<\/li><br \/>\r\n \t<li>Estabelece a efic\u00e1cia e a seguran\u00e7a das estrat\u00e9gias m\u00e9dicas terap\u00eauticas, reabilitadoras ou preventivas, ou<\/li><br \/>\r\n \t<li>Procura entender a experi\u00eancia do paciente.<\/li><br \/>\r\n<\/ul><br \/>\r\nOs m\u00e9dicos devem usar suas habilidades e a experi\u00eancia pregressa para identificar rapidamente a situa\u00e7\u00e3o cl\u00ednica exclusiva de cada paciente, aplicando as evid\u00eancias adaptadas aos riscos versus benef\u00edcios das poss\u00edveis interven\u00e7\u00f5es, para cada indiv\u00edduo. Finalmente, o objetivo normativo da EBM \u00e9 dar suporte ao paciente, contextualizando as evid\u00eancias de acordo com suas prefer\u00eancias, preocupa\u00e7\u00f5es e expectativas. Isto resulta em um processo de <a href=\"https:\/\/bestpractice.bmj.com\/info\/pt\/mbe-toolkit\/pratique-mbe\/tomada-de-decisao-compartilhada\/\">tomada de decis\u00e3o compartilhada<\/a>, no qual os valores do paciente, as circunst\u00e2ncias e o contexto ditam o melhor cuidado.<br \/>\r\n<br \/>\r\nO uso disseminado de EBM em muitas disciplinas de sa\u00fade<sup>b&nbsp;<\/sup> reflete seu amplo impacto. A EBM tamb\u00e9m \u00e9 uma ferramenta importante para a justi\u00e7a social. Se aplicada corretamente, ela tem potencial para ser um grande equalizador \u2013 lutar pela igualdade de cuidados dos pacientes em diferentes partes do mundo. Al\u00e9m disso, a EBM desempenha um papel de destaque na formula\u00e7\u00e3o de pol\u00edticas; os pol\u00edticos est\u00e3o falando cada vez mais sobre o uso que fazem das evid\u00eancias advindas da pesquisa para basear sua tomada de decis\u00e3o, como uma declara\u00e7\u00e3o de legitimidade. [3, 4]<br \/>\r\n<br \/>\r\nSua hist\u00f3ria foi artisticamente descrita em &#8216;uma hist\u00f3ria oral da EBM&#8217;, apresentada pelo Dr. Richard Smith, que inclui discuss\u00f5es com os fundadores da EBM &#8211; incluindo Drs David Sackett, Brian Haynes, e Gordon Guyatt. Os leitores interessados tamb\u00e9m podem fazer refer\u00eancia \u00e0 Biblioteca James Lind, que descreve muitos momentos seminais na hist\u00f3ria da EBM [6].&nbsp; A conclus\u00e3o desses artigos \u00e9 que a EBM n\u00e3o \u00e9 um conceito novo, mas que ela reflete o trabalho de in\u00fameras pessoas que melhoraram o processo de gerar evid\u00eancias cl\u00ednicas ao longo de v\u00e1rias d\u00e9cadas e que ela continua a evoluir.<br \/>\r\n<br \/>\r\nDesenvolver as habilidades para a pr\u00e1tica da EBM requer acesso \u00e0s evid\u00eancias, oportunidades para praticar e tempo. Esperamos que este portal venha a ser um ponto de partida. Voc\u00ea poderia optar pela utiliza\u00e7\u00e3o deste recurso para se tornar um consumidor mais esclarecido da literatura ou a pr\u00f3xima pessoa a colaborar com o progresso desta sabedoria coletiva. Ainda h\u00e1 muito trabalho pela frente: \u00e9 chegado o momento de empreender esfor\u00e7os para descobrir novas maneiras de integrar as evid\u00eancias nos registros de sa\u00fade pessoal para que possam ser usadas \u00e0 beira do leito e na casa do paciente, melhorar as estrat\u00e9gias para comunica\u00e7\u00e3o do risco e encontrar maneiras para aprender e exercer a medicina diante da incerteza [7]. Esperamos que voc\u00ea participe deste bate-papo permanente.<br \/>\r\n<br \/>\r\n<strong>Reena Pattani MD MPH FRCPC<\/strong><br \/>\r\nProfessor Auxiliar,<br \/>\r\nDivision of General Internal Medicine<br \/>\r\nDepartment of Medicine<br \/>\r\nSt. Michael\u2019s Hospital<br \/>\r\nUniversity of Toronto<br \/>\r\n<br \/>\r\n<strong>Sharon E. Straus MD MSc FRCPC<\/strong><br \/>\r\nProfessor,<br \/>\r\nDivision of Geriatric Medicine<br \/>\r\nDepartment of Medicine<br \/>\r\nSt. Michael\u2019s Hospital<br \/>\r\nUniversity of Toronto<br \/>\r\n<br \/>\r\nReconhecimentos: a SES \u00e9 financiada por um Presidente de Pesquisa do Canad\u00e1 de N\u00edvel 1.<br \/>\r\n<br \/>\r\n<sup>a&nbsp;<\/sup>O termo MBE \u00e9 utilizado de forma intercambi\u00e1vel com pr\u00e1ticas baseadas em evid\u00eancias ou cuidados de sa\u00fade baseados em evid\u00eancias.<br \/>\r\n<sup>b&nbsp;<\/sup>Terapiaocupacional, fisioterapia, enfermagem, odontologia e medicina complementar, para citar alguns.<br \/>\r\n<h3>&nbsp;Blogs relacionados<\/h3><br \/>\r\n<a href=\"https:\/\/bestpractice.bmj.com\/info\/pt\/mbe-toolkit\/examinando-a-medicina-baseada-em-evidencias-mbe\/o-que-significa-realmente-baseado-em-evidencias\/\">O que realmente significa &#8216;baseada em evid\u00eancias&#8217;?<\/a><br \/>\r\n<p style=\"text-align: left;\"><a class=\"fasc-button fasc-size-large fasc-type-glossy fasc-rounded-medium\" style=\"background-color: #bd117b; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/bestpractice.bmj.com\/info\/pt\/mbe-toolkit\/ferramentas-de-mbe\/bibliografia-dos-principais-recursos\/\">&nbsp;Leia mais<\/a><\/p><br \/>\r\n<br \/>\r\n<h3>Refer\u00eancias<\/h3><br \/>\r\n<ol><br \/>\r\n \t<li>Evidence-based Medicine Working Group. Evidence-based medicine.&nbsp; A new approach to teaching the practice of medicine. JAMA 1992; 268:2420 -5.<\/li><br \/>\r\n \t<li>Straus SE, Glasziou P, Richardson WS, Haynes RB. Evidence-based medicine: How to practice and teach it, 4th ed. Churchill Livingstone, Elsevier: Edinburgh, 2011.<\/li><br \/>\r\n \t<li>Edwards P. A cabinet that looks like Canada:\u2019 Justin Trudeau pledges government built on trust: Toronto Star Newspaper; 2015. [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/www.thestar.com\/news\/canada\/2015\/11\/04\/new-government-to-be-sworn-in-today.html\">https:\/\/www.thestar.com\/news\/canada\/2015\/11\/04\/new-government-to-be-sworn-in-today.html.<\/a><\/li><br \/>\r\n \t<li>Malterud K, Bjelland AK, Elvbakken KT. Evidence-based medicine \u2013 an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems. 2016; 14 (1) :15.<\/li><br \/>\r\n \t<li>The JAMA Network. Evidence Based Medicine: An Oral History 2014 [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/ebm.jamanetwork.com\/\">https:\/\/ebm.jamanetwork.com\/<\/a>.<\/li><br \/>\r\n \t<li>The James Lind Library. Illustrating the development of fair tests of treatments in health care 2003 [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/www.jameslindlibrary.org\/\">https:\/\/www.jameslindlibrary.org\/<\/a>.<\/li><br \/>\r\n \t<li>Simpkin AL, Schwartzstein RM. Tolerating Uncertainty \u2014 The Next Medical Revolution? N Engl J Med 2016; 375(18):1713-1715.<\/li><br \/>\r\n<\/ol><br \/>\r\n&nbsp;","protected":false},"excerpt":{"rendered":"<p>A medicina baseada em evid\u00eancias (EBMa) refere-se \u00e0 aplica\u00e7\u00e3o da melhor pesquisa dispon\u00edvel aos cuidados cl\u00ednicos, o que requer a integra\u00e7\u00e3o de evid\u00eancias com a experi\u00eancia cl\u00ednica e os valores do paciente [1,2].&nbsp; Quando falamos no que h\u00e1 de melhor em pesquisa nos referimos \u00e0 pesquisa clinicamente relevante (isto \u00e9, orientada para o paciente) que: [&hellip;]<\/p>\n","protected":false},"author":41,"featured_media":0,"parent":4757,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"marketing_new.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4760","page","type-page","status-publish","hentry"],"acf":{"components":[{"choose_component":"generic","hide":"","logged_in":"","logged_out":"","grey_background":"","background_color":"","background_image":null,"title_text_color":"","title":"O que \u00e9 a MBE?","text":"<section>\r\n<div class=\"component-1 test \">\r\n<div class=\"container\">\r\n<div class=\"row\">\r\n<div class=\"col-md-9 col-sm-9 col-xs-12\">\r\n<p class=\"lead\">A medicina baseada em evid\u00eancias (EBM<sup>a<\/sup>) refere-se \u00e0 aplica\u00e7\u00e3o da melhor pesquisa dispon\u00edvel aos cuidados cl\u00ednicos, o que requer a integra\u00e7\u00e3o de evid\u00eancias com a experi\u00eancia cl\u00ednica e os valores do paciente [1,2].\u00a0 Quando falamos no que h\u00e1 de melhor em pesquisa nos referimos \u00e0 pesquisa clinicamente relevante (isto \u00e9, orientada para o paciente) que:<\/p>\r\n\r\n<ul>\r\n \t<li>Esclarece a acur\u00e1cia e precis\u00e3o dos exames diagn\u00f3sticos,<\/li>\r\n \t<li>Destaca a import\u00e2ncia dos marcadores progn\u00f3sticos,<\/li>\r\n \t<li>Estabelece a efic\u00e1cia e a seguran\u00e7a das estrat\u00e9gias m\u00e9dicas terap\u00eauticas, reabilitadoras ou preventivas, ou<\/li>\r\n \t<li>Procura entender a experi\u00eancia do paciente.<\/li>\r\n<\/ul>\r\nOs m\u00e9dicos devem usar suas habilidades e a experi\u00eancia pregressa para identificar rapidamente a situa\u00e7\u00e3o cl\u00ednica exclusiva de cada paciente, aplicando as evid\u00eancias adaptadas aos riscos versus benef\u00edcios das poss\u00edveis interven\u00e7\u00f5es, para cada indiv\u00edduo. Finalmente, o objetivo normativo da EBM \u00e9 dar suporte ao paciente, contextualizando as evid\u00eancias de acordo com suas prefer\u00eancias, preocupa\u00e7\u00f5es e expectativas. Isto resulta em um processo de <a href=\"https:\/\/stg-bestpractice.bmjgroup.com\/info\/pt\/simply-making-evidence-simple\/\">tomada de decis\u00e3o compartilhada<\/a>, no qual os valores do paciente, as circunst\u00e2ncias e o contexto ditam o melhor cuidado.\r\n\r\nO uso disseminado de EBM em muitas disciplinas de sa\u00fade<sup>b <\/sup> reflete seu amplo impacto. A EBM tamb\u00e9m \u00e9 uma ferramenta importante para a justi\u00e7a social. Se aplicada corretamente, ela tem potencial para ser um grande equalizador \u2013 lutar pela igualdade de cuidados dos pacientes em diferentes partes do mundo. Al\u00e9m disso, a EBM desempenha um papel de destaque na formula\u00e7\u00e3o de pol\u00edticas; os pol\u00edticos est\u00e3o falando cada vez mais sobre o uso que fazem das evid\u00eancias advindas da pesquisa para basear sua tomada de decis\u00e3o, como uma declara\u00e7\u00e3o de legitimidade. [3, 4]\r\n\r\nSua hist\u00f3ria foi artisticamente descrita em \u2018uma hist\u00f3ria oral da EBM\u2019, apresentada pelo Dr. Richard Smith, que inclui discuss\u00f5es com os fundadores da EBM \u2013 incluindo Drs David Sackett, Brian Haynes, e Gordon Guyatt. Os leitores interessados tamb\u00e9m podem fazer refer\u00eancia \u00e0 Biblioteca James Lind, que descreve muitos momentos seminais na hist\u00f3ria da EBM [6].\u00a0 A conclus\u00e3o desses artigos \u00e9 que a EBM n\u00e3o \u00e9 um conceito novo, mas que ela reflete o trabalho de in\u00fameras pessoas que melhoraram o processo de gerar evid\u00eancias cl\u00ednicas ao longo de v\u00e1rias d\u00e9cadas e que ela continua a evoluir.\r\n\r\nDesenvolver as habilidades para a pr\u00e1tica da EBM requer acesso \u00e0s evid\u00eancias, oportunidades para praticar e tempo. Esperamos que este portal venha a ser um ponto de partida. Voc\u00ea poderia optar pela utiliza\u00e7\u00e3o deste recurso para se tornar um consumidor mais esclarecido da literatura ou a pr\u00f3xima pessoa a colaborar com o progresso desta sabedoria coletiva. Ainda h\u00e1 muito trabalho pela frente: \u00e9 chegado o momento de empreender esfor\u00e7os para descobrir novas maneiras de integrar as evid\u00eancias nos registros de sa\u00fade pessoal para que possam ser usadas \u00e0 beira do leito e na casa do paciente, melhorar as estrat\u00e9gias para comunica\u00e7\u00e3o do risco e encontrar maneiras para aprender e exercer a medicina diante da incerteza [7]. Esperamos que voc\u00ea participe deste bate-papo permanente.\r\n\r\n<strong>Reena Pattani MD MPH FRCPC<\/strong>\r\nProfessor Auxiliar,\r\nDivision of General Internal Medicine\r\nDepartment of Medicine\r\nSt. Michael\u2019s Hospital\r\nUniversity of Toronto\r\n\r\n<strong>Sharon E. Straus MD MSc FRCPC<\/strong>\r\nProfessor,\r\nDivision of Geriatric Medicine\r\nDepartment of Medicine\r\nSt. Michael\u2019s Hospital\r\nUniversity of Toronto\r\n\r\nReconhecimentos: a SES \u00e9 financiada por um Presidente de Pesquisa do Canad\u00e1 de N\u00edvel 1.\r\n\r\n<sup>a <\/sup>O termo MBE \u00e9 utilizado de forma intercambi\u00e1vel com pr\u00e1ticas baseadas em evid\u00eancias ou cuidados de sa\u00fade baseados em evid\u00eancias.\r\n<sup>b <\/sup>Terapiaocupacional, fisioterapia, enfermagem, odontologia e medicina complementar, para citar alguns.\r\n<h3>Blogs relacionados<\/h3>\r\n<a href=\"https:\/\/stg-bestpractice.bmjgroup.com\/info\/pt\/what-does-evidence-based-actually-mean\/\">O que realmente significa \u2018baseada em evid\u00eancias\u2019?<\/a>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section><section>\r\n<div class=\"component-1 test \">\r\n<div class=\"container\">\r\n<div class=\"row\">\r\n<div class=\"col-md-9 col-sm-9 col-xs-12\">\r\n<ol>\r\n \t<li>Evidence-based Medicine Working Group. Evidence-based medicine.\u00a0 A new approach to teaching the practice of medicine. JAMA 1992; 268:2420 -5.<\/li>\r\n \t<li>Straus SE, Glasziou P, Richardson WS, Haynes RB. Evidence-based medicine: How to practice and teach it, 4th ed. Churchill Livingstone, Elsevier: Edinburgh, 2011.<\/li>\r\n \t<li>Edwards P. A cabinet that looks like Canada:\u2019 Justin Trudeau pledges government built on trust: Toronto Star Newspaper; 2015. [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/www.thestar.com\/news\/canada\/2015\/11\/04\/new-government-to-be-sworn-in-today.html\">https:\/\/www.thestar.com\/news\/canada\/2015\/11\/04\/new-government-to-be-sworn-in-today.html.<\/a><\/li>\r\n \t<li>Malterud K, Bjelland AK, Elvbakken KT. Evidence-based medicine \u2013 an appropriate tool for evidence-based health policy? A case study from Norway. Health Research Policy and Systems. 2016; 14 (1) :15.<\/li>\r\n \t<li>The JAMA Network. Evidence Based Medicine: An Oral History 2014 [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/ebm.jamanetwork.com\/\">https:\/\/ebm.jamanetwork.com\/<\/a>.<\/li>\r\n \t<li>The James Lind Library. Illustrating the development of fair tests of treatments in health care 2003 [acessado pela \u00faltima vez em fevereiro de 2019]. Dispon\u00edvel em: <a href=\"https:\/\/www.jameslindlibrary.org\/\">https:\/\/www.jameslindlibrary.org\/<\/a>.<\/li>\r\n \t<li>Simpkin AL, Schwartzstein RM. Tolerating Uncertainty \u2014 The Next Medical Revolution? N Engl J Med 2016; 375(18):1713-1715.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/section>","image":null,"qr_image":null,"circular_image":null,"button_text":"Leia mais","button_url":"https:\/\/bestpractice.bmj.com\/info\/pt\/evidence\/ebm-toolbox\/bibliography\/","button2_text":"","button2_url":"","video_embed":"","quote":"","quote_author":"","author_job_title":"","feature_iconsimages":null,"bullets":"none","bullet_text":null,"expiration_date":null,"review_type":"normal","reviews":null,"feature_image_cards":null,"feature_icon_cards":null,"podcast_date":null,"podcast_title":"","podcast_text":"","podcast_embed_script":"","campaign_advert_link":"","monthly":{"show_monthly_tab":false,"strikethrough_price":"","price_text":"","per_month_text":"","vat_text":"","subscribe_button_text":"","subscribe_button_link":""},"annual":{"show_annual_tab":false,"packages":null,"default_price":"","default_strikethrough_price":"","default_per_year_text":"","vat_text":"","subscribe_button_text":"","subscribe_button_link":""},"advisory_panel":null,"article_list_fields":null,"subscription_tab_main_heading":"","subscription_tabs":null,"accordion_for_page":null,"embed_code":"","table_structure":null,"column_two_text":""},{"choose_component":"bulletList","hide":"","logged_in":"","logged_out":"","grey_background":"","background_color":"","background_image":null,"title_text_color":"","title":"Links 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GRADE?<\/a>","bullet_icon_url":""},{"text_data":"<a href=\"https:\/\/bestpractice.bmj.com\/info\/pt\/evidence\/learn-ebm\/understanding-statistics-risk\/\">Como calcular o 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